When I was a kid, my parents made us go to church and Sunday school, and I recall seeing a picture much like this one, not this exact one, but eerily similar, in one of the kid's bible lesson books they had to teach us kids about jesus, and how to behave/make him happy/not sin, so we wouldn't go to hell.

I admit to being totally terrified of the picture, afraid that I was sinning, and that jesus or god was really going to spank me,
I didn't understand the words that were saying being sick was the spanking, I just believed that jesus was really going to physically spank me.
The fear was made so much worse when on Sunday mornings, the pastor always had a kid's sermon that he gave before all of us kids were shuffled out of the chapel and sent to the kids chapel in the gym, and the pastor would always say that god and jesus were everywhere, they could see and hear everything, and that he was all powerful, very strong, and could wipe out all of us if he wanted to punish us.
I took all of that to mean that he was physically strong, he could see and hear me, he knew everything, and if I sinned, he was going to come down from heaven and spank me so hard my ass was going to bleed.